SHAN JASPER

GILBERT, AZ
NPI1053991091
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
Additional Taxonomies246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
SHAN JASPER
1355 E BLACK DIAMOND DR
GILBERT, AZ 85296-3718
Phone number: 480-228-2175
Mailing Address
SHAN JASPER
1355 E BLACK DIAMOND DR
GILBERT, AZ 85296-3718
Phone number: 480-228-2175